brewerpaul

brewerpaul

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All Content by brewerpaul

  1. ACLS a requirement for RN's?

    Our OR just passed JACHO too and ACLS was not an issue for the RNs. I probably won't bother with it myself unless I go for RNFA in a couple of
  2. could someone please map this?

    Our OR uses computer documentation so as the circulator, I really don't have to worry a lot about being "pristine". Good thing too, because my handwriting is horrible! The documentation is mostly...
  3. Call survival tips for RN new to the OR

    If you have any choice in the matter, try to get assigned to call with a good solid tech who you get along with. A good tech is your best
  4. Do you mind being shadowed?

    I'm a newbie OR nurse (started in July) but I've been shadowed a couple of times by students from a local community college program and I found that I love it. Once I'm confident that they know how...
  5. Bombed My Or Interview

    BTW-- it doesn't hurt to follow up a week or so later with a phone call or letter, reiterating how much you enjoyed the interview, how much you'd like to work there and expressing interest in touring...
  6. OR Nursing advice

    Hiya-- I'm a new grad who started in the OR back in July. I LOVE it. A couple of points: The OR is VERY team oriented. You work closely with the same people day after day. This can be good or bad,...
  7. Bombed My Or Interview

    A letter is a great idea. Don't try to make excuses for yourself. Just tell them how much you enjoyed the chance to interview with them, your impressions of their OR (if you had a chance to visit...
  8. Free goodies from the OR...

    I'm curious how people use some of the free stuff that we get to take home from the OR. I am NOT advocating stealing things. I'm talking about unused, uncontaminated items that would be otherwise...
  9. Worst Surgeries to deal with?

    Short cases eg cystoscopes are a PITA 'cause they're done almost before they get started, but you still have all that paperwork (well, computer work), same as a big case. I also don't like cases where...
  10. Any good advice for learning to scrub?

    Check this out for surgery videos: http://www.or-live.com/ I'm a circulator (will be learning to scrub soon, hopefully) and I like to watch videos of procedures I haven't circulated
  11. Missing ray tec's

    We don't know all the details of this case, but from what you've told us this RN did everything that she was supposed to do. I'd advise her to fight this restriction all the way to the top. It's not...
  12. Interrupted Count

    Exactamundo!
  13. First day on call...

    I started in the OR back at the end of June and took my first buddy call yesterday. Quick summary: we spent 14 hours there! First up was a nephrectomy. This was booked ahead of time, but this wasn't...
  14. First day on call...

    Update-- they found a loaner set of Nancy nails instruments, so we were able to do the case as scheduled on Sunday morning. Went nice and easy and we got out pretty quickly. The, I got called back in...
  15. Urethral Meatotomy?

    Monday will be my first day as a solo circulator (yay!). First case up is one I've never circulated-- a urethral meatotomy on a male. (When I first read it on the schedule I saw it as a meat-otomy, as...
  16. Urethral Meatotomy?

    Update-- this supposedly very simple "clamp and snip" procedure (my very first total solo as a circulator) morphed into a considerably more complex procedure, requiring a bit more equipment and...
  17. Surgeons who make me cry!!!

    Don't take it personally: you said he treats EVERYONE that way. Remember that it's HIM, not you. Do your job the best you know how and say "Yes Doctor" whatever happens. You will NOT change him, so...
  18. I LOVE this job!

    I'm a May RN grad-- started in my hospital at the beginning of June with orientation and a couple of weeks on a post-surgical floor and started in the OR itself just before July. I'm having so much...
  19. More circulating than scrubbing in US?

    In my hospital (upstate NY) we're short of RNs but have enough techs so the RNs just circulate. However, the OR directors realize that it's beneficial to have RNs who can also scrub. Once we get up...
  20. Do you chart in the OR?

    Not ours-- we have laptops mounted on rolling stands so we can face the action and still chart. Depending on how many people are on hand, I sometimes try to get that same head start by putting in...
  21. OR Advice

    This one was recommended to me when I started in the OR and I love it:...
  22. computerized charting in the O.R.

    Our OR has Meditech too. I grew into computers in the DOS age, so I also don't have any problem with it. It's not fancy, and sometimes I forget that the cursor and mouse won't work with it :-) , but...
  23. What do you carry in your pockets?

    I just got one of those ScrubPocs and after one week, I really like it. I wear it around my waist, under my scrub top. It's still pretty accessible, but out of the way and not likely to flop onto a...
  24. "Circulating is so easy"

    I'm still an OR newbie (about 6 weeks, and loving it!) but I have one or two observations/suggestions. On a long case, once you're up to date on your documenting and the techs have everything they...
  25. Pulling Medications

    Some nurses in our OR pull meds ahead of time, others (myself included) pull them case by case. In any event do NOT pull narcotics ahead of time! If a vial of Lidocaine gets misplaced, it's not a...